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  1. Article ; Online: Effect of hospitalisation on the rate of surgical site infection in dogs with Penrose drains.

    Charlesworth, T / Sampaio, E

    The Journal of small animal practice

    2023  Volume 65, Issue 3, Page(s) 181–188

    Abstract: ... infection rate was 16.9% (35/207). Dogs discharged home with the drain in situ <24 hours after surgery (n ... care (n=50, 42.9%, 18.4%) and dogs kept hospitalised for >24 hours but discharged with the drain ... in situ (n=18, 50.0%, 22.2%).: Clinical significance: Our study results show no significant influence ...

    Abstract Objectives: The aim of this study is to retrospectively report complication and infection rates associated with the use of Penrose drains in a large population of dogs; and to compare complication and infection rates of dogs hospitalised for maintenance of their Penrose drains with those that were discharged home with their drains in place.
    Materials and methods: We performed a retrospective search of medical records from 2014 to 2022 for dogs that had a Penrose drain placed into a wound in one institution. Our population was sub-divided into dogs discharged home with a drain in place; dogs discharged only after drain removal; and dogs recovered part of the time in hospital and part at home (with the drain in situ). Postoperative complications were graded using the Clavien-Dindo scale.
    Results: Two hundred and eight dogs were included. The overall complication rate was 40.9% (85/208), with most complications considered minor. The overall infection rate was 16.9% (35/207). Dogs discharged home with the drain in situ <24 hours after surgery (n=136) had similar complication (39.0%) and infection (16.2%) rates to dogs kept hospitalised for drain care (n=50, 42.9%, 18.4%) and dogs kept hospitalised for >24 hours but discharged with the drain in situ (n=18, 50.0%, 22.2%).
    Clinical significance: Our study results show no significant influence on the complication or infection rates between dogs that were hospitalised for drain care and those discharged home with drains in situ within 24 hours of surgery.
    MeSH term(s) Dogs ; Animals ; Surgical Wound Infection/epidemiology ; Surgical Wound Infection/veterinary ; Retrospective Studies ; Hospitalization ; Length of Stay ; Time Factors ; Drainage/veterinary ; Drainage/methods ; Postoperative Complications/epidemiology ; Postoperative Complications/veterinary ; Dog Diseases/surgery
    Language English
    Publishing date 2023-12-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 410743-3
    ISSN 1748-5827 ; 0022-4510 ; 1748-5827
    ISSN (online) 1748-5827
    ISSN 0022-4510 ; 1748-5827
    DOI 10.1111/jsap.13678
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Identifying and predicting stereotype change in large language corpora: 72 groups, 115 years (1900-2015), and four text sources.

    Charlesworth, Tessa E S / Sanjeev, Nishanth / Hatzenbuehler, Mark L / Banaji, Mahzarin R

    Journal of personality and social psychology

    2023  Volume 125, Issue 5, Page(s) 969–990

    Abstract: ... first, that group stereotypes changed by a moderate-to-large degree in manifest content (i.e., top ... traits associated with groups) but remained relatively more stable in latent structure (i.e., average ... of linguistic (e.g., frequency of mentioning the group; consistency of group stereotypes across texts) and ...

    Abstract The social world is carved into a complex variety of groups each associated with unique stereotypes that persist and shift over time. Innovations in natural language processing (word embeddings) enabled this comprehensive study on variability and correlates of change/stability in both manifest and latent stereotypes for 72 diverse groups tracked across 115 years of four English-language text corpora. Results showed, first, that group stereotypes changed by a moderate-to-large degree in manifest content (i.e., top traits associated with groups) but remained relatively more stable in latent structure (i.e., average cosine similarity of top traits' embeddings and vectors of valence, warmth, or competence). This dissociation suggests new insights into how stereotypes and their consequences may endure despite documented changes in other aspects of group representations. Second, results showed substantial variability of change/stability across the 72 groups, with some groups revealing large shifts in manifest and latent content, but others showing near-stability. Third, groups also varied in how consistently they were stereotyped across texts, with some groups showing divergent content, but others showing near-identical representations. Fourth, this variability in change/stability across groups was predicted from a combination of linguistic (e.g., frequency of mentioning the group; consistency of group stereotypes across texts) and social (e.g., the type of group) correlates. Groups that were more frequently mentioned in text changed more than those rarely mentioned; sociodemographic groups changed more than other group types (e.g., body-related stigmas, mental illnesses, occupations), providing the first quantitative evidence of specific group features that may support historical stereotype change. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
    MeSH term(s) Humans ; Stereotyping ; Language ; Linguistics ; Mental Disorders ; Social Stigma
    Language English
    Publishing date 2023-08-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3103-3
    ISSN 1939-1315 ; 0022-3514
    ISSN (online) 1939-1315
    ISSN 0022-3514
    DOI 10.1037/pspa0000354
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Book ; Online: An Atlas of Rural Protest in Britain 1548-1900

    Charlesworth, Andrew

    (Routledge Library Editions: Rural History ; v.2)

    2017  

    Abstract: ... 2.1 LOWLAND ENGLAND 1520-95 -- 2.2 LOWLAND ENGLAND 1596-1710 -- 2.3 UPLAND ENGLAND 1520-1650 -- 2.4 WA ... 7 1580-1606 -- 2.8 THE MIDLAND REVOLT OF 1607 -- 2.9 1608-39 -- 2.10 1640-9 -- 2.11 1650-1701 -- 2.12 170 ... 2.17 ATTACKS ON DEER PARKS 1640-1740 -- 2.18 OPPOSITION TO ENCLOSURE IN NORTHAMPTONSHIRE cl760-1800 ...

    Series title Routledge Library Editions: Rural History ; v.2
    Abstract 6.8 ΑΝΤΙ POOR LAW MOVEMENTS AND RURAL TRADE UNIONISM IN THE SOUTH-EAST 1835 John Lowerson -- 6.9 PROTEST IN EAST ANGLIA AGAINST THE IMPOSITION OF THE NEW POOR LAW Anne Digby -- 6.10 THE AGRICULTURAL LABOURERS' PROTESTS IN EAST ANGLIA IN THE 1840s -- 7 RURAL PROTEST IN MID-AND LATE-VICTORIAN BRITAIN -- 7.1 INTRODUCTION -- 7.2 THE REBECCA RIOTS 1839-44 David J.V. Jones -- 7.3 THE SPREAD OF THE REBECCA RIOTS 1842-4 -- 7.4 AGRICULTURAL TRADE UNIONISM IN ENGLAND 1872-94 John P.D. Dunbabin -- 7.5 THE KENT AND SUSSEX LABOURERS' UNION 1872-95 -- 7.6 THE WELSH TITHE WAR 1886-95 John P.D. Dunbabin -- 7.7 THE HIGHLAND LAND WAR 1881-96 James Hunter -- REFERENCES -- LIST OF CONTRIBUTORS -- INDEX

    Cover page -- Half title page -- Title page -- Copyright page -- Title page -- Copyright page -- CONTENTS -- MAPS -- ACKNOWLEDGEMENTS -- 1 INTRODUCTION -- 2 THE GEOGRAPHY OF LAND PROTESTS 1548-1860 -- 2.1 LOWLAND ENGLAND 1520-95 -- 2.2 LOWLAND ENGLAND 1596-1710 -- 2.3 UPLAND ENGLAND 1520-1650 -- 2.4 WALES, SCOTLAND AND UPLAND ENGLAND 1650-1860 -- 2.5 LOWLAND ENGLAND 1710-1860 -- 2.6 1548-52 -- 2.7 1580-1606 -- 2.8 THE MIDLAND REVOLT OF 1607 -- 2.9 1608-39 -- 2.10 1640-9 -- 2.11 1650-1701 -- 2.12 1702-39 -- 2.13 THE LEVELLERS' REVOLT IN GALLOWAY OF 1724 -- 2.14 1740-79 -- 2.15 1780-1831 -- 2.16 1832-60 -- 2.17 ATTACKS ON DEER PARKS 1640-1740 -- 2.18 OPPOSITION TO ENCLOSURE IN NORTHAMPTONSHIRE cl760-1800 -- 3 THE GEOGRAPHY OF FOOD RIOTS 1585-1847 -- 3.1 INTRODUCTION -- 3.2 1585-1649 John Walter -- 3.3 1660-1737 -- 3.4 1740 Robert W. Malcolmson -- 3.5 1756-7 Jeremy Ν. Caple -- 3.6 1766 Dale E. Williams -- 3.7 1771-3 -- 3.8 1776-93 -- 3.9 1794-6 -- 3.10 1799-1801 -- 3.11 1810-18 -- 3.12 1847 Eric Richards -- 3.13 NORTH MIDLANDS: AUGUST AND SEPTEMBER 1756 -- 3.14 GLOUCESTERSHIRE - WILTSHlRE 1766 Dale E. Williams -- 3.15 DEVON 1795 AND 1800-1 John Bohstedt -- 4 TURNPIKE DISTURBANCES IN THE EIGHTEENTH AND EARLY-NINETEENTH CENTURIES -- 5 THE CLUBMEN AND MILITIA PROTESTS -- 5.1 THE RISINGS OF THE CLUBMEN IN 1644-5 Garry Lynch -- 5.2 THE MILITIA RIOTS OF 1757 Jeremy N. Caple -- 5.3 MILITIA RIOTS 1795-8 -- 6 THE GEOGRAPHY OF PROTESTS BY AGRICULTURAL LABOURERS 1790-1850 -- 6.1 THE RISE OF AN AGRICULTURAL PROLETARIAT1 -- 6.2 THE FRENCH WARS 1793-1815 AND THE FIRST OUTBREAK OFLABOURERS' PROTESTS -- 6.3 THE POST-WAR AGRICULTURAL DEPRESSION AND THE PROTESTS OF THE 1815-31 PERIOD -- 6.4 THE EAST ANGLIAN PROTESTS OF 1816 -- 6.5 THE AGRICULTURAL LABOURERS' PROTESTS OF 1822 -- 6.6 THE CAPTAIN SWING PROTESTS OF 1830-1 -- 6.7 AFTER SWING
    Language English
    Size 1 Online-Ressource (212 pages)
    Document type Book ; Online
    ISBN 9781138743489 ; 9781351625753 ; 9781138743489 ; 1138743488 ; 1351625756 ; 1138743488
    Database ECONomics Information System

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  4. Article ; Online: Using ICD-10 diagnostic codes to identify 'missing' paediatric patients during nationwide COVID-19 lockdown in Oxfordshire, UK.

    Charlesworth, James E G / Bold, Rhian / Pal, Rani

    European journal of pediatrics

    2021  Volume 180, Issue 11, Page(s) 3343–3357

    Abstract: ... 5 years, were used. We found that total Emergency Department (ED) attendances (n = 4030) and ... hospital admissions (n = 1416) during the first UK lockdown were reduced by 56.8% and 59.4%, respectively ... compared to 2015-2019 (5-year means n = 7446.8 and n = 2491.6, respectively). Proportions of patients ...

    Abstract The study aims to identify 'missing' diagnoses amongst paediatric admissions during the UK's first national lockdown, compared with the previous 5 years. A retrospective observational cohort study of all children (0-15 years) attending for urgent care across Oxfordshire, during the first UK lockdown in 2020, compared to matched dates in 2015-2019, across two paediatric hospitals providing secondary care, including one with tertiary services. Our outcome measures were changes in numbers of patients attending and inpatient diagnoses (using ICD-10 classification) during the first 2020 lockdown, compared with the previous 5 years, were used. We found that total Emergency Department (ED) attendances (n = 4030) and hospital admissions (n = 1416) during the first UK lockdown were reduced by 56.8% and 59.4%, respectively, compared to 2015-2019 (5-year means n = 7446.8 and n = 2491.6, respectively). Proportions of patients admitted from ED and length of stay were similar across 2015-2020. ICD-10 diagnoses in lockdown of 2020 (n = 2843) versus matched 2015-2019 dates (n = 19,946) demonstrated significantly greater neoplasm diagnoses (p = 0.0123). Of diagnoses 'missing' in lockdown, 80% were categorised as infectious diseases or their sequelae and 20% were non-specific pains/aches/malaise and accidental injury/poisonings.Conclusions: Pandemic public health measures significantly altered paediatric presentations. Oxfordshire hospitals had a 58% reduction in ED attendances/inpatient admissions, with 'missing' diagnoses predominantly infection-related illnesses. These are likely driven by a combination of the following: (1) public health infection control measures successfully reducing disease transmission, (2) parents/carers keeping mild/self-limiting disease at home, and (3) pandemic-related healthcare anxieties. Prospective studies are needed to ensure referral pathways identify vulnerable children, those with social concerns, and avoid delayed presentation. What is Known: • Significant reductions of paediatric ED attendances and inpatient admissions are reported globally, throughout national and regional lockdowns for COVID-19. • Previous studies (supplemental table 5) examined only ED diagnoses or specific inpatient diagnoses during lockdown periods, demonstrating reductions of infectious diseases, accidents/injuries, and safeguarding referrals. What is New: • Using ICD-10 coding, robustly controlling for five historical years and adopting a hypothesis-independent analysis, demonstrating 80% of 'missing' inpatient diagnoses during national COVID-19 lockdown were infectious diseases or its sequelae, the remainder being non-specific aches/pains/malaise and accidental injuries/poisonings. • Greater numbers of neoplasms and other specific diagnoses were detected during lockdown, including greater documentation of co-morbidities and incidental findings.
    MeSH term(s) COVID-19 ; Child ; Emergency Service, Hospital ; Humans ; Infection Control ; International Classification of Diseases ; Retrospective Studies ; SARS-CoV-2 ; United Kingdom
    Language English
    Publishing date 2021-05-26
    Publishing country Germany
    Document type Journal Article ; Observational Study
    ZDB-ID 194196-3
    ISSN 1432-1076 ; 0340-6199 ; 0943-9676
    ISSN (online) 1432-1076
    ISSN 0340-6199 ; 0943-9676
    DOI 10.1007/s00431-021-04123-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The project implicit international dataset: Measuring implicit and explicit social group attitudes and stereotypes across 34 countries (2009-2019).

    Charlesworth, Tessa E S / Navon, Mayan / Rabinovich, Yoav / Lofaro, Nicole / Kurdi, Benedek

    Behavior research methods

    2022  Volume 55, Issue 3, Page(s) 1413–1440

    Abstract: ... the worldwide variation in social group attitudes (evaluative representations, e.g., young-good/old-bad) and ... stereotypes (attribute representations, e.g., male-science/female-arts). Indeed, uncovering such country-level ...

    Abstract For decades, researchers across the social sciences have sought to document and explain the worldwide variation in social group attitudes (evaluative representations, e.g., young-good/old-bad) and stereotypes (attribute representations, e.g., male-science/female-arts). Indeed, uncovering such country-level variation can provide key insights into questions ranging from how attitudes and stereotypes are clustered across places to why places vary in attitudes and stereotypes (including ecological and social correlates). Here, we introduce the Project Implicit:International (PI:International) dataset that has the potential to propel such research by offering the first cross-country dataset of both implicit (indirectly measured) and explicit (directly measured) attitudes and stereotypes across multiple topics and years. PI:International comprises 2.3 million tests for seven topics (race, sexual orientation, age, body weight, nationality, and skin-tone attitudes, as well as men/women-science/arts stereotypes) using both indirect (Implicit Association Test; IAT) and direct (self-report) measures collected continuously from 2009 to 2019 from 34 countries in each country's native language(s). We show that the IAT data from PI:International have adequate internal consistency (split-half reliability), convergent validity (implicit-explicit correlations), and known groups validity. Given such reliability and validity, we summarize basic descriptive statistics on the overall strength and variability of implicit and explicit attitudes and stereotypes around the world. The PI:International dataset, including both summary data and trial-level data from the IAT, is provided openly to facilitate wide access and novel discoveries on the global nature of implicit and explicit attitudes and stereotypes.
    MeSH term(s) Female ; Humans ; Male ; Reproducibility of Results ; Social Group ; Attitude ; Self Report ; Social Sciences
    Language English
    Publishing date 2022-06-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 231560-9
    ISSN 1554-3528 ; 0743-3808 ; 1554-351X
    ISSN (online) 1554-3528
    ISSN 0743-3808 ; 1554-351X
    DOI 10.3758/s13428-022-01851-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Antimicrobial resistance determinants are associated with

    Young, Bernadette C / Wu, Chieh-Hsi / Charlesworth, Jane / Earle, Sarah / Price, James R / Gordon, N Claire / Cole, Kevin / Dunn, Laura / Liu, Elian / Oakley, Sarah / Godwin, Heather / Fung, Rowena / Miller, Ruth / Knox, Kyle / Votintseva, Antonina / Quan, T Phuong / Tilley, Robert / Scarborough, Matthew / Crook, Derrick W /
    Peto, Timothy E / Walker, A Sarah / Llewelyn, Martin J / Wilson, Daniel J

    Microbial genomics

    2024  Volume 7, Issue 11

    Abstract: Staphylococcus ... ...

    Abstract Staphylococcus aureus
    MeSH term(s) Adult ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Bacteremia/microbiology ; Delivery of Health Care ; Drug Resistance, Bacterial/genetics ; Genome-Wide Association Study ; Humans ; Staphylococcal Infections/microbiology ; Staphylococcus aureus
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2024-01-08
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2835258-0
    ISSN 2057-5858 ; 2057-5858
    ISSN (online) 2057-5858
    ISSN 2057-5858
    DOI 10.1099/mgen.0.000700
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Fundamental concepts in genetics: effective population size and patterns of molecular evolution and variation.

    Charlesworth, Brian

    Nature reviews. Genetics

    2009  Volume 10, Issue 3, Page(s) 195–205

    Abstract: The effective size of a population, N(e), determines the rate of change in the composition ... N(e) is crucial in determining the level of variability in a population, and the effectiveness ... of selection relative to drift. This article reviews the properties of N(e) in a variety of different ...

    Abstract The effective size of a population, N(e), determines the rate of change in the composition of a population caused by genetic drift, which is the random sampling of genetic variants in a finite population. N(e) is crucial in determining the level of variability in a population, and the effectiveness of selection relative to drift. This article reviews the properties of N(e) in a variety of different situations of biological interest, and the factors that influence it. In particular, the action of selection means that N(e) varies across the genome, and advances in genomic techniques are giving new insights into how selection shapes N(e).
    MeSH term(s) Animals ; Evolution, Molecular ; Genetic Drift ; Genetic Variation ; Genetics, Population ; Humans ; Population Density
    Language English
    Publishing date 2009-02-09
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2035157-4
    ISSN 1471-0064 ; 1471-0056
    ISSN (online) 1471-0064
    ISSN 1471-0056
    DOI 10.1038/nrg2526
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Children's implicit attitude acquisition: Evaluative statements succeed, repeated pairings fail.

    Charlesworth, Tessa E S / Kurdi, Benedek / Banaji, Mahzarin R

    Developmental science

    2019  Volume 23, Issue 3, Page(s) e12911

    Abstract: ... of two learning interventions, previously shown to form implicit attitudes in adults. Children (N = 280 ...

    Abstract From the earliest ages tested, children and adults show similar overall magnitudes of implicit attitudes toward various social groups. However, such consistency in attitude magnitude may obscure meaningful age-related change in the ways that children (vs. adults) acquire implicit attitudes. This experiment investigated children's implicit attitude acquisition by comparing the separate and joint effects of two learning interventions, previously shown to form implicit attitudes in adults. Children (N = 280, ages 7-11 years) were taught about novel social groups through either evaluative statements (ES; auditorily presented verbal statements such as 'Longfaces are bad, Squarefaces are good'), repeated evaluative pairings (REP; visual pairings of Longface/Squareface group members with valenced images such as a puppy or snake), or a combination of ES+REP. Results showed that children acquired implicit attitudes following ES and ES+REP, with REP providing no additional learning beyond ES alone. Moreover, children did not acquire implicit attitudes in four variations of REP, each designed to facilitate learning by systematically increasing verbal scaffolding to specify (a) the learning goal, (b) the valence of the unconditioned stimuli, and (c) the group categories of the conditioned stimuli. These findings underscore the early-emerging role of verbal statements in children's implicit attitude acquisition, as well as a possible age-related limit in children's acquisition of novel implicit attitudes from repeated pairings.
    MeSH term(s) Association Learning ; Attitude ; Child ; Child Behavior ; Conditioning, Classical ; Conditioning, Psychological ; Female ; Humans ; Judgment ; Male
    Language English
    Publishing date 2019-10-30
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2023952-X
    ISSN 1467-7687 ; 1363-755X
    ISSN (online) 1467-7687
    ISSN 1363-755X
    DOI 10.1111/desc.12911
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Recurrent neo-sex chromosome evolution in kiwifruit.

    Akagi, Takashi / Varkonyi-Gasic, Erika / Shirasawa, Kenta / Catanach, Andrew / Henry, Isabelle M / Mertten, Daniel / Datson, Paul / Masuda, Kanae / Fujita, Naoko / Kuwada, Eriko / Ushijima, Koichiro / Beppu, Kenji / Allan, Andrew C / Charlesworth, Deborah / Kataoka, Ikuo

    Nature plants

    2023  Volume 9, Issue 3, Page(s) 393–402

    Abstract: Sex chromosome evolution is thought to be tightly associated with the acquisition and maintenance of sexual dimorphisms. Plant sex chromosomes have evolved independently in many ... ...

    Abstract Sex chromosome evolution is thought to be tightly associated with the acquisition and maintenance of sexual dimorphisms. Plant sex chromosomes have evolved independently in many lineages
    MeSH term(s) Actinidia/genetics ; Sex Chromosomes/genetics ; Phenotype
    Language English
    Publishing date 2023-03-06
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2055-0278
    ISSN (online) 2055-0278
    DOI 10.1038/s41477-023-01361-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Comparison of Low-Value Care Among Commercial and Medicaid Enrollees.

    Ellison, Jacqueline E / Kumar, Soryan / Steingrimsson, Jon A / Adhikari, Deepak / Charlesworth, Christina J / McConnell, K John / Trivedi, Amal N / Trikalinos, Thomas A / Forbes, Shaun P / Panagiotou, Orestis A

    Journal of general internal medicine

    2022  Volume 38, Issue 4, Page(s) 954–960

    Abstract: Background: Low-value healthcare is costly and inefficient and may adversely affect patient outcomes. Despite increases in low-value service use, little is known about how the receipt of low-value care differs across payers.: Objective: To evaluate ... ...

    Abstract Background: Low-value healthcare is costly and inefficient and may adversely affect patient outcomes. Despite increases in low-value service use, little is known about how the receipt of low-value care differs across payers.
    Objective: To evaluate differences in the use of low-value care between patients with commercial versus Medicaid coverage.
    Design: Retrospective observational analysis of the 2017 Rhode Island All-payer Claims Database, estimating the probability of receiving each of 14 low-value services between commercial and Medicaid enrollees, adjusting for patient sociodemographic and clinical characteristics. Ensemble machine learning minimized the possibility of model misspecification.
    Participants: Medicaid and commercial enrollees aged 18-64 with continuous coverage and an encounter at which they were at risk of receiving a low-value service.
    Intervention: Enrollment in Medicaid or Commercial insurance.
    Main measures: Use of one of 14 validated measures of low-value care.
    Key results: Among 110,609 patients, Medicaid enrollees were younger, had more comorbidities, and were more likely to be female than commercial enrollees. Medicaid enrollees had higher rates of use for 7 low-value care measures, and those with commercial coverage had higher rates for 5 measures. Across all measures of low-value care, commercial enrollees received more (risk difference [RD] 6.8 percentage points; CI: 6.6 to 7.0) low-value services than their counterparts with Medicaid. Commercial enrollees were also more likely to receive low-value services typically performed in the emergency room (RD 11.4 percentage points; CI: 10.7 to 12.2) and services that were less expensive (RD 15.3 percentage points; CI 14.6 to 16.0).
    Conclusion: Differences in the provision of low-value care varied across measures, though average use was slightly higher among commercial than Medicaid enrollees. This difference was more pronounced for less expensive services indicating that financial incentives may not be the sole driver of low-value care.
    MeSH term(s) United States/epidemiology ; Humans ; Female ; Male ; Medicaid ; Retrospective Studies ; Low-Value Care ; Delivery of Health Care ; Rhode Island
    Language English
    Publishing date 2022-09-29
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-022-07823-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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